Africana Studies and Research Center, Cornell University, Ithaca, NY, USA; Cornell Center for Health Equity, Cornell University, Ithaca, NY, USA.
Development Sociology, Cornell University, Ithaca, NY, USA.
Lancet Planet Health. 2021 May;5(5):e309-e315. doi: 10.1016/S2542-5196(21)00076-0.
COVID-19 is unique in the scope of its effects on morbidity and mortality. However, the factors contributing to its disparate racial, ethnic, and socioeconomic effects are part of an expansive and continuous history of oppressive social policy and marginalising geopolitics. This history is characterised by institutionally generated spatial inequalities forged through processes of residential segregation and neglectful urban planning. In the USA, aspects of COVID-19's manifestation closely mirror elements of the build-up and response to the Flint crisis, Michigan's racially and class-contoured water crisis that began in 2014, and to other prominent environmental injustice cases, such as the 1995 Chicago (IL, USA) heatwave that severely affected the city's south and west sides, predominantly inhabited by Black people. Each case shares common macrosocial and spatial characteristics and is instructive in showing how civic trust suffers in the aftermath of public health disasters, becoming especially degenerative among historically and spatially marginalised populations. Offering a commentary on the sociogeographical dynamics that gave rise to these crises and this institutional distrust, we discuss how COVID-19 has both inherited and augmented patterns of spatial inequality. We conclude by outlining particular steps that can be taken to prevent and reduce spatial inequalities generated by COVID-19, and by discussing the preliminary steps to restore trust between historically disenfranchised communities and the public officials and institutions tasked with responding to COVID-19.
COVID-19 在其对发病率和死亡率的影响范围方面是独特的。然而,导致其在种族、族裔和社会经济方面存在差异的因素是一个广泛而持续的压迫性社会政策和边缘化地缘政治历史的一部分。这一历史的特点是通过居住隔离和忽视城市规划的过程,机构产生的空间不平等。在美国,COVID-19 表现的某些方面与密歇根州弗林特危机的形成和应对的某些方面密切相关,弗林特危机是 2014 年开始的一场以种族和阶级为特征的水危机,以及其他突出的环境不公正案例,例如 1995 年美国芝加哥(IL)的热浪,热浪严重影响了该市的南部和西部,主要由黑人居住。每个案例都有共同的宏观社会和空间特征,对于说明公民信任如何在公共卫生灾难后受到影响,尤其是在历史上和空间上处于边缘地位的人群中恶化,都具有启示意义。我们对导致这些危机和这种制度不信任的社会地理动态进行了评论,讨论了 COVID-19 如何继承和加剧空间不平等的模式。最后,我们概述了可以采取的一些措施来防止和减少 COVID-19 产生的空间不平等,并讨论了恢复历史上被剥夺权利的社区与负责应对 COVID-19 的公职人员和机构之间信任的初步步骤。